|
AUTO & HOME INSURANCE AGENCY 401(K) PROFIT SHARIN PLAN & TRUST
|
2012
|
363804241
|
2013-06-24
|
AUTO & HOME INSURANCE AGENCY, INC
|
44
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-07-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
6309605450
|
| Plan sponsor’s
address |
732 WEST OGDEN AVENUE, DOWNERS GROVE, IL, 60515
|
Signature of
| Role |
Plan administrator |
| Date |
2013-06-24 |
| Name of individual signing |
CAROL J. ULASY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-06-24 |
| Name of individual signing |
CAROL J. ULASY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AUTO & HOME INSURANCE AGENCY 401(K) PROFIT SHARIN PLAN & TRUST
|
2011
|
363804241
|
2012-07-10
|
AUTO & HOME INSURANCE AGENCY, INC
|
44
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-07-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
6309605450
|
| Plan sponsor’s
address |
732 WEST OGDEN AVENUE, DOWNERS GROVE, IL, 60515
|
Plan administrator’s name and address
| Administrator’s EIN |
363804241 |
| Plan administrator’s name |
AUTO & HOME INSURANCE AGENCY, INC |
| Plan administrator’s
address |
732 WEST OGDEN AVENUE, DOWNERS GROVE, IL, 60515 |
| Administrator’s telephone number |
6309605450 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-10 |
| Name of individual signing |
CAROL J. ULASY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AUTO & HOME INSURANCE AGENCY 401(K) PROFIT SHARIN PLAN & TRUST
|
2010
|
363804241
|
2011-07-01
|
AUTO & HOME INSURANCE AGENCY, INC
|
38
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-07-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
6309605450
|
| Plan sponsor’s
address |
732 WEST OGDEN AVENUE, DOWNERS GROVE, IL, 60515
|
Plan administrator’s name and address
| Administrator’s EIN |
363804241 |
| Plan administrator’s name |
AUTO & HOME INSURANCE AGENCY, INC |
| Plan administrator’s
address |
732 WEST OGDEN AVENUE, DOWNERS GROVE, IL, 60515 |
| Administrator’s telephone number |
6309605450 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-30 |
| Name of individual signing |
CAROL J. ULASY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
AUTO & HOME INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2009
|
363804241
|
2010-06-25
|
AUTO & HOME INSURANCE AGENCY, INC.
|
41
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-07-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
6309605450
|
| Plan sponsor’s
address |
1701 GOLF ROAD, ROLLING MEADOWS, IL, 60008
|
Plan administrator’s name and address
| Administrator’s EIN |
363804241 |
| Plan administrator’s name |
AUTO & HOME INSURANCE AGENCY, INC. |
| Plan administrator’s
address |
1701 GOLF ROAD, ROLLING MEADOWS, IL, 60008 |
| Administrator’s telephone number |
6309605450 |
Signature of
| Role |
Plan administrator |
| Date |
2010-06-25 |
| Name of individual signing |
CAROL ULASY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
